Unit
2
Assignment:
Third
–
Party Payers
Unit outcomes addressed in this Assignment:
List the features of third
–
party payers.
Describe third
–
party
payers.
Explain reimbursement methods used by third
–
party payers.
Explain the effects of coding on reimbursement.
Course outcome assessed/addressed in this Assignment:
HS440
–
1:
Describe the current financial environment in healthcare and its influence on
decision
making.
HS440
–
2:
Describe international standard diagnosis classification use in the US health care
reimbursement and billing system.
GEL 1.1:
Demonstrate college
–
level communication through the composition of original
materials in Standard Americ
an English.
Instructions
For this Assignment, you will be writing a report to the Board of Directors of Health Care
Systems, Inc. regarding the importance of proper coding in order to ensure prompt
reimbursement. In the report, the Board requires an introd
uctory paragraph that should
summarize the role of finance in Health Care Systems, Inc., the primary users of the financial
information, any associated legal or regulatory issues, and a brief statement on the legal form of
Health Care Systems, Inc.
The body of your report to the Board of Directors should include a detailed description of the
features of third
–
party payers, the reimbursement methods used, and the effects of coding on
reimbursement.
To conclude your report to the Board of Directors, su
mmarize in a one
paragraph conclusion the
key points of your report and include a final statement on how you, as the CFO, will ensure
proper coding to facilitate prompt reimbursement in the future.
Requirements
This report should be no less than
5
total pages in length
, including the title page
and separate reference page
.
The body of this report should be no less than
three full body pages.
HS440
|
Finance for Health Care
2
Follow APA formatting for the title and reference page, as well as APA formatting
within the paper itself (T
imes New Roman 12
–
point font and properly double
spaced).
Information should be summarized in your own words with
appropriate APA
formatting and citation style of in
–
text citations in the body of the text to
acknowledge the source(s) of information.
Follow
the conventions of Standard American English (correct grammar,
sentence structure, punctuation, etc.).
Your work should display superior content, organization, style, and mechanics.
Submitting Your Work
For directions on how to submit your work and review
your graded assignments, refer to the
Dropbox Guide found on the Academic Tools tab. Make sure that you save a copy of your
submitted work.
Unit 2 Assignment Grading Rubric = 175 points
Assignment Requirements
Points
possible
Points
earned by
student
Report includes a description of the role of finance and legal and
regulatory issues in health care.
0
–
25
Report includes a description of third
–
party payers.
0
–
50
Report includes a description of the affects of coding on
reimbursement
0
–
50
Report
concludes with a description of how to ensure proper
coding to facilitate prompt reimbursement
0
–
35
Report identifies the users of financial information and the role of
finance in decision
–
making.
0
–
15
Total (Sum of all points)
Points deducted for spelling, grammar, and/or APA errors.
Last Completed Projects
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